Hypogalactia and postpartum depression

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Abstract

The well-being of the mother-child dyad involves a significant number of social, psychological, neuroendocrine and somatic factors.

The high risk of developing stress, anxiety and depressive disorders in a woman during the postpartum period is primarily associated with the neuroendocrine transition. Immediately after birth, the placental corticotropin-releasing hormone stops entering the bloodstream and levels of estrogen, progesterone and allopregnanolone decrease dramatically. These processes lead to the reorganization of the regulatory mechanisms of the neuroendocrine system, which determines the condition of the neurotransmitter systems of the brain responsible for the affective state of a woman.

Lactation and maternal behavior of a woman result from complex neurohumoral mechanisms. Dysregulation of these mechanisms results in both the onset of affective disorders in postpartum women and a decrease in milk production, which can lead to hypogalactia, cessation of lactation, and breastfeeding.

Supplementary feeding with NANNY goat milk formula in cases of clinically expressed hypogalactia provides the child with complete nutrition. It also helps to reduce the woman’s stress level and create conditions for the correction of hypogalactia and the restoration of breastfeeding.

Conclusion: Prevention and timely correction of stress, anxiety-depressive states in women during pregnancy and after childbirth ensure successful lactation, maternal role attainment, feelings of satisfaction and security, which are necessary for harmonious development and growth of the child.

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About the authors

Natalia N. Stenyaeva

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Author for correspondence.
Email: nataliasten@mail.ru

Dr. Med. Sci., Senior Researcher at the Department of Andrology and Urology

Russian Federation, Moscow

Natalia A. Pekareva

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: n_pekareva@oparina4.ru

Dr. Med. Sci., Head of the Scientific Advisory Pediatric Department

Russian Federation, Moscow

Victor V. Zubkov

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: victor.zubkov@mail.ru
ORCID iD: 0000-0001-8366-5208

Dr. Med. Sci., Director of the Institute of Neonatology and Pediatrics, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, Professor at Neonatal Department of Pediatric Faculty, I.M.Sechenov First State Medical University, Ministry of Health of Russia

Russian Federation, Moscow; Moscow

Dmitry F. Chritinin

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: nataliasten@mail.ru
ORCID iD: 0000-0001-9107-2357

Corresponding Member of RAS, Dr. Med. Sci., Professor at the Department of Psychiatry and Narcology, Faculty of Medicine

Russian Federation, Moscow

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